MEDICARE: LOVELAND URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	33652	CO

General Provider Information

NPI Number	:	1134326085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVELAND URGENT CARE

Provider Business Mailing Address
First Line	:	3850 N GRANT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8431
Country	:	US
Telephone Number	:	970-669-5717
Fax Number	:	970-669-7750

Provider Business Practice Location Address
First Line	:	3850 N GRANT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8431
Country	:	US
Telephone Number	:	970-669-5717
Fax Number	:	970-669-7750

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. SUSAN MARIE BECK
Credential	:	MD
Telephone Number	:	970-669-5717

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	02/25/2008

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Directions to “LOVELAND URGENT CARE ” Practice Location

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